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Centre for Policy on Ageing | |
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A prospective baseline study of frail older people before the introduction of an intermediate care service | Author(s) | John Young, Michael Robinson, Sue Chell |
Journal title | Health & Social Care in the Community, vol 13, no 4, July 2005 |
Pages | pp 307-312 |
Source | www.blackwellpublishing.com/hsc |
Keywords | Admission [hospitals] ; Needs [elderly] ; Evaluation ; Rehabilitation ; Aftercare ; Longitudinal surveys ; Leeds. |
Annotation | The first part of a two-stage research project designed to investigate the clinical and service outcomes of a comprehensive intermediate care service. is described. It is a baseline study of patients presenting to two elderly care departments as emergencies with the clinical syndromes of falls, incontinence, confusion or poor mobility before introduction of a city-wide intermediate care service. Mortality and disability were measured (using the Barthel Index, BI), social activities (Nottingham Extended Activities of Daily Living), service use, and carer distress (Central Health Questionnaire 28). These were measured at 3, 6 and 12 months after recruitment. 823 patients in Leeds - median age 84, 74% women - were recruited. 45% had cognitive impairment; median BI score was 15. There was a high mortality rate (36%), evidence for incomplete recovery, a gradual decline in independence over 12 months, and a high degree of carer stress. There was little use of rehabilitation services (<5%), about 25% required readmission to hospital by each assessment point, and there was a gradual increase in institutional care admissions. These findings support a needs-based argument for a more comprehensive community service for frail older people. (RH). |
Accession Number | CPA-050825204 A |
Classmark | LD:QKH: IK: 4C: LM: LN: 3J: 88B |
Data © Centre for Policy on Ageing |
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...from the Ageinfo database published by Centre for Policy on Ageing. |
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